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Harborview Medical Center Psychiatry Resident On Call
Manual
The PRON can be downloaded
and viewed as a portable document format (pdf). Its contents are identical
to those listed below.
Table of Contents
Survival in the CTU: An Anecdotal Personal Philosophy
General Points about Being on Call
What are my responsibilities and how should I prioritize my tasks?
What time does a shift start and end?
What should I do at the start of my shift?
What should I do at the end of my shift?
Where do I eat and sleep?
What should I do if I don't feel safe?
How and when do I contact the On-Call Attending?
On-Call Pager and Keys
The 24-Hour ED pager ("Doc to Doc" pager)
What happens on Training Call?
What should I do if I become ill during call?
Protocols and Procedures within the CTU
Which patients do I see in the CTU?
Seeing patients referred from other providers
From CTU Social Workers
From Nurse Practitioners
From the CDMHP
From med/surg ER (from 24-Hour ED pager)
The Liaison Social Worker
Prescribing and refilling medications
How do I admit a patient to HMC?
Quick-Reference Guide
Assessing need for admit
Psychiatric Evaluation
Physical Exam
Assigning a unit/team
Admission note
Other Admission Notes
Admission Orders
Ordering labs and studies
Other Paperwork
Direct Admissions
High-Utilizer Program?
Common presenting problems
Overview of treatment plans
Major Depressive Episode with and without psychotic features
Manic Episode with and without psychotic features
Psychotic Episode
Co-morbid Substance Abuse
How do I admit or transfer a patient to another hospital?
Admit to UW
Transfer to VA
Transfer to other hospitals
"Medical Clearance"
What other dispositions are available?
Involuntary Treatment Act (ITA) and the CDMHPs
When should I refer a patient for involuntary treatment?
How do I refer a patient for involuntary treatment
How do I contact the CDMHP
How do I write an affidavit?
Examples of Affidavits
What does "poor faith voluntary" mean?
What do I do with a "poor faith voluntary" patient?
What is a summons?
Consults at Night and on Weekends
Model of Brief Psychiatric Consultation
Phone Calls from Outside HMC
What should I do if an outpatient calls?
What should I do if an outside provider wants to admit a patient to
HMC?
What if the psych resident at the UW wants to admit a patient to HMC?
What if the psych resident at the VA wants to admit a patient to HMC?
Other Procedures and Patients
Calling an on-call Case Manager for a Community Mental Health Center
CTU Kids Protocol (<15 y.o.)
Alcohol withdrawal
Medical issues and consulting the ER
Ordering labs/studies within the CTU
Ordering medications within the CTU
Seclusion and restraint in the CTU
The Intoxicated Patient
The Agitated Patient
The Mental Health System
Community Mental Health Centers
Psychiatric Hospitals
Services for Children
Other Psych Services
Data Management in the CTU
On-Call Log
"Dog Pack"
Admission Orders
Sign-Out Sheet in progress
Census Report
RN Log Sheet
Mindscape and IRIS
CFLO
CLS
AMR packet and Transfer Form
S&R Orders
ROI
Discharge Instructions
Cross-Cover at Night and on Weekends
General procedures
How do I handle certain common medical problems?
When should I and how do I consult another service for help?
When should I and how do I transfer a patient to another service?
What do I do about Seclusion & Restraint orders?
What should I do if a patient asks to be discharged AMA?
How do I get help from an Attending?
How do I assess a patient with agitation or behavioral dyscontrol?
Decisional Capacity and involuntary treatment of medical issues
How do I accept transfers to Psychiatry from other services?
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